The role of post-operative radiographs in predicting risk of flexor pollicis longus tendon rupture after volar plate fixation of distal radius fractures – A case control study
| Autor: | David M. G. Machin, Daniel C. Perry, David R. Selvan, Daniel Brown |
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| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Radiography Palmar Plate Fracture Fixation Internal Tendon Injuries Humans Medicine Postoperative Period Post operative Volar plate General Environmental Science Fixation (histology) Fracture Healing Rupture business.industry Flexor pollicis longus tendon rupture Radius respiratory system Tendon Surgery Treatment Outcome medicine.anatomical_structure Case-Control Studies General Earth and Planetary Sciences Radius Fractures business Trauma surgery |
| Zdroj: | Injury. 45:1885-1888 |
| ISSN: | 0020-1383 |
| Popis: | Volar plating of distal radius fractures is one of the common procedures performed in trauma surgery. Flexor pollicis longus (FPL) rupture has been described as complication following volar plating of distal radius fractures. The aim of our study was to investigate the possible relation between parameters measured on post-operative radiographs and the occurrence of FPL ruptures.This was a case control study. The post-operative radiographs of 11 FPL rupture, and 22 non-FPL rupture patients were reviewed with respect to fracture reduction and plate position and the various parameters were calculated by five independent people. Logistic regression was used to examine the importance of the variables.We identified two significant factors to predict FPL rupture after volar plating of distal radial fractures. These were radial tilt and plate distance from the joint line. The odds ratio of ruptures was 0.74 (95% CI 0.57-0.95) for every degree of radial tilt25° and 0.50 (95% CI 0.28-0.88) for every millimetre that the distal end of the plate was away from the volar lip of the distal radius at the wrist joint.Post-operative radiographs could help us predict FPL rupture after distal radius volar plating. The findings also highlight the need for good fracture reduction and thoughtful placement of the volar plate intraoperatively to minimise the risk of FPL tendon rupture. |
| Databáze: | OpenAIRE |
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